Healthcare Provider Details

I. General information

NPI: 1265390090
Provider Name (Legal Business Name): SEVEN PALMS INTEGRATED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 VAN REED RD STE 101
WYOMISSING PA
19610-1799
US

IV. Provider business mailing address

560 VAN REED RD STE 101
WYOMISSING PA
19610-1799
US

V. Phone/Fax

Practice location:
  • Phone: 484-516-2937
  • Fax: 484-930-0229
Mailing address:
  • Phone: 484-516-2937
  • Fax: 484-930-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MCCLURE
Title or Position: AUTHORIZED OFFICIAL
Credential: CRNP
Phone: 484-516-2937